Journal of Autism and Developmental Disorders最新文献

{"title":"Prevalence of Co-occurring Mental, Neurodevelopmental and Neurological Conditions in Medicaid Beneficiaries With Autism.","authors":"Carolyn DiGuiseppi, Caleb Ing, Ashley Blanchard, Matthew T Russell, Guohua Li","doi":"10.1007/s10803-026-07324-1","DOIUrl":"https://doi.org/10.1007/s10803-026-07324-1","url":null,"abstract":"<p><strong>Purpose: </strong>As more children with autism enter adulthood, updated data on co-occurring conditions throughout the lifespan are needed. We examined mental, neurodevelopmental and neurological (MNN) conditions among people with and without autism overall and by demographics.</p><p><strong>Methods: </strong>Using Medicaid claims data for beneficiaries aged ≥ 1 year enrolled during 2020, we identified autism and MNN diagnoses using ICD-10 codes. Adjusted prevalence ratios (aPRs) in beneficiaries with versus without autism were calculated using log-binomial models.</p><p><strong>Results: </strong>Among 993,965 beneficiaries with autism, attention-deficit-hyperactivity and conduct disorders (ADHD/CD, 30.5%), intellectual disabilities (ID, 20.4%), and anxiety disorders (19.3%) were most common. Prevalence of every condition except ADHD/CD increased with age and was higher in females. For most conditions, prevalence was lowest in American Indian/Alaska Native (AI/AN) and Hispanic individuals. Every condition except alcohol/drug use disorders was significantly more prevalent in those with autism; aPRs ranged from 1.8 (depression) to 21.2 (ID). APRs were higher in middle and older ages for neurodevelopmental conditions, in children and adolescents for mental and neurological conditions, and in women for neurodevelopmental and neurological conditions. AI/AN beneficiaries had the highest aPRs for nearly all conditions.</p><p><strong>Conclusion: </strong>Among publicly-insured individuals, MNN conditions were more common in beneficiaries with than without autism across the lifespan, in both sexes and across racial/ethnic groups. Demographic variation may reflect underdiagnosis of autism in previous generations and females, respectively, and less access to mental health services in some racial/ethnic groups. Screening for ADHD and mental health disorders in youth and adults with autism may improve health outcomes. Screening for ADHD and mental health disorders in youth and adults with autism may improve health outcomes.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Telehealth Diagnostic Tool for Autistic Children With Phrased and Fluent Speech: Comparison to In-person Diagnosis.","authors":"Katherine K Meltzoff, Cameron Alexander, Amy Hoffman, Jan Blacher","doi":"10.1007/s10803-026-07325-0","DOIUrl":"https://doi.org/10.1007/s10803-026-07325-0","url":null,"abstract":"<p><strong>Purpose: </strong>Given the existing barriers to timely ASD diagnosis and the potential of telehealth to mitigate these barriers, it is critical to create and validate telehealth autism diagnostic instruments. Existing instruments largely focus on children under 3 and/or those with minimal verbal speech. We created and investigated the accuracy and validity for two novel instruments: Tele-ASD-KIDS, phrased speech (TAK-PS), and Tele-ASD-KIDS, fluent speech (TAK-FS) alongside an existing measure for minimally verbal children -the Tele-ASD-PEDS (TAP).</p><p><strong>Methods: </strong>We assessed 39 children for autism in a university-based free clinic, both in-person and using telehealth, with blinded assessment teams- TAP (n = 10; M = 47.5 months), TAK-PS (n = 7, M = 74 months), TAK-FS (n = 22, M = 102.77 months). Data were analyzed for diagnostic accuracy and social validity for each telehealth instrument separately.</p><p><strong>Results: </strong>Our findings suggest that the TAK-PS is highly accurate, whereas the TAK-FS is accurate for some children but not others. Older children, those with behaviors unrelated to ASD that may affect social-communication abilities, and those with ADHD appear least likely to benefit from telehealth diagnostic assessments. For social validity, caregivers were largely satisfied with both TAK versions.</p><p><strong>Conclusions: </strong>The TAK-PS and TAK-FS are, to our knowledge, the first telehealth diagnostic measures for ASD in children with phrased or fluent speech that have been systematically compared to in-person assessments using blinded clinical teams and randomized assessment order. Although the initial accuracy and validity of these measures are promising, more research on these measures is needed.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping Profiles of Parents at the Time of Their Child's Autism Diagnosis: Differences Between Mothers and Fathers, and Associations With Family Mental Health.","authors":"Maëva Monnier, Cécile Michelon, Cécile Rattaz, Fanny Redlinger, Hugo Peyre, Amaria Baghdadli","doi":"10.1007/s10803-026-07345-w","DOIUrl":"10.1007/s10803-026-07345-w","url":null,"abstract":"<p><strong>Purpose: </strong>Given theoretical and methodological criticisms surrounding coping strategies, this study examines coping profiles and differences between mothers and fathers at the time of their child's autism diagnosis.</p><p><strong>Methods: </strong>Multi-group confirmatory factor analyses (MG-CFAs) were conducted to improve construct validity of the French Ways of Coping Checklist-Revised in 554 parents in France and to test measurement invariance between mothers and fathers. Linear mixed models were performed to examine parental status (mother vs. father) differences in coping strategies. Dyadic latent profile analysis (LPA) was used to identify distinct coping profiles and the R3STEP approach to examine differences in latent profile membership by parental status.</p><p><strong>Results: </strong>MG-CFAs supported four coping dimensions (problem solving-positive reappraisal, seeking social support, wishful thinking, and self-blame) and demonstrated configural and metric invariances, with partial scalar invariance between mothers and fathers. Fathers reported a significantly lower use of all coping strategies except wishful thinking. LPA identified three coping profiles -Varied Coping, Adaptive-Dominant Coping, and Maladaptive-Dominant Coping-with no significant differences in latent profile membership between mothers and fathers. In both parents, coping profiles differed by anxiety symptoms; additionally, maternal profiles were associated with socio-economic status, stress levels, and the child's internalizing difficulties, and paternal profiles with depressive symptoms.</p><p><strong>Conclusions: </strong>These findings provide a more nuanced understanding of mother-father differences in coping among parents of autistic children and underscore the need for tailored, profile-based interventions in clinical practice and future research.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief-Report: Associations Between Early Sensory Processing and Emotional-Behavioral Dysregulation in Autistic Toddlers.","authors":"Bernabei Eleonora, Scatigna Stefano, Pecini Chiara, Balconi Michela, Apicella Fabio, Cagiano Romina, Costanzo Valeria, Frediani Chiara, Igliozzi Roberta, Mancini Alice, Mazzone Beatrice, Paoli Lucia, Tancredi Raffaella, Calderoni Sara","doi":"10.1007/s10803-026-07342-z","DOIUrl":"https://doi.org/10.1007/s10803-026-07342-z","url":null,"abstract":"","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural Adaptation of the RAADS-R to Brazilian Portuguese: Ritvo Autism Diagnostic Scale-Brazilian Version (RADS-R-BR).","authors":"Mayck Hartwig, Emmy Uehara Pires, Riva Ariella Ritvo-Slifka, Ilus Eugênio de Souza","doi":"10.1007/s10803-025-07112-3","DOIUrl":"https://doi.org/10.1007/s10803-025-07112-3","url":null,"abstract":"","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Adaptation to Change in Peer Behavior Before and After a Pilot Randomized Clinical Trial of a Theatre-Based Intervention for Adults With Autism.","authors":"Rachael A Muscatello, Mark E Klemencic, Rachel Calvosa, Blythe A Corbett","doi":"10.1007/s10803-026-07340-1","DOIUrl":"10.1007/s10803-026-07340-1","url":null,"abstract":"","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Unique and Complex Experience of Growing Up With a Sibling Who Exhibits Severe Challenging Behaviors in the Context of a Neurodevelopmental Disability: A Trauma-Based Study.","authors":"Corinne Rochefort, Mélina Rivard, Alison Paradis","doi":"10.1007/s10803-026-07323-2","DOIUrl":"https://doi.org/10.1007/s10803-026-07323-2","url":null,"abstract":"<p><strong>Purposes: </strong>Growing up with a sibling who has a developmental disability (DD) is a complex experience that becomes even more challenging in the presence of severe challenging behaviors (SCBs). SCBs include behaviors that may endanger the physical and psychological integrity of both the individual and their close environment. Despite increasing research on parental experiences, the perspectives of brothers and sisters remain largely overlooked. These conditions often expose them to prolonged and repeated interpersonal harm, aligning with the context described in complex trauma theory which outlines symptoms that may arise from such environments across seven domains: affect regulation, interpersonal relationships, self-concept, cognition, behavior control, physical symptoms, and dissociation. This study aims to gain a deeper understanding of the lived experiences of individuals who grew up with a sibling with an DD in the context of SCBs, using complex trauma theory as a framework.</p><p><strong>Methods: </strong>Eleven participants took part in two semi-structured interviews exploring both their childhood and adult lives. A directed content analysis, based on the domains of complex trauma theory, was conducted on the full interview transcripts.</p><p><strong>Results: </strong>Findings indicate that the context described by participants shares many features with environments characterized by complex trauma. Furthermore, all seven symptom domains outlined by the theory were reflected in their narratives.</p><p><strong>Conclusion: </strong>These findings underscore the need to recognize the potentially traumatic nature of growing up in such environments and to approach brothers' and sisters' experiences through a trauma-informed lens. Greater awareness of their reality is essential to developing clinical interventions.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Prosocial Behaviors of Preschoolers on the Autism Spectrum and Their Non-autistic Peers.","authors":"Samet Burak Taylan, Hatice Bakkaloğlu","doi":"10.1007/s10803-026-07349-6","DOIUrl":"https://doi.org/10.1007/s10803-026-07349-6","url":null,"abstract":"<p><strong>Purpose: </strong>Prosocial behaviors (PBs) play a significant role in achieving desired outcomes from childhood through adulthood. This necessitates an in-depth examination in children on the autism spectrum (AS), as potential limitations in this area may pose risks for an individual's entire life. This study aimed to compare PBs of preschoolers on the AS with their non-autistic (NA) peers.</p><p><strong>Methods: </strong>50 Turkish-speaking NA children aged between 48 and 72 months, and 50 Turkish-speaking children on the AS aged between 48 and 80 months participated in the study. The groups were matched in terms of nonverbal cognitive competency (NCC). The Coloured Progressive Matrices Test (CPM) was used to assess NCC, and the Prosocial Assessment Protocol (PAP) was used to assess PBs.</p><p><strong>Results: </strong>Differences were found in helping and sharing behaviors, as well as in overall PBs. However, the groups exhibited similar levels of comforting behavior. Additionally, children on the AS needed more social cues to engage in PBs.</p><p><strong>Discussion: </strong>The results align with literature, indicating that children on the AS may experience limitations in PBs real-life situations-based assessments, and that they have a marked need for explicit social cues. Further research is needed to deepen the knowledge on the behavioral and motivational characteristics that influence PBs in children on the AS.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent Perspectives on Mobile Health Autism Screeners.","authors":"Luis Rivas Vazquez, Gabriella Tangkilisan, Plyce Fuchu, Benjamin Sanders, Jill K Dolata, Steven Bedrick, Eric Fombonne, Sarabeth Broder-Fingert, Katharine E Zuckerman","doi":"10.1007/s10803-026-07281-9","DOIUrl":"https://doi.org/10.1007/s10803-026-07281-9","url":null,"abstract":"","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Examining the Efficacy of Culturally Responsive Interventions for Autistic Children and Their Families: A Meta‑Analysis.","authors":"James D Lee, Veronica Y Kang, Adriana Kaori Terol, Sean Joo","doi":"10.1007/s10803-026-07335-y","DOIUrl":"https://doi.org/10.1007/s10803-026-07335-y","url":null,"abstract":"","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}